Individual
EUGENE VINCENT DEFELICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 RAINIER AVE S, SEATTLE, WA 98144-2839
(206) 470-3869
Mailing address
2015 2ND AVE UNIT 2010, SEATTLE, WA 98121-4022
(347) 852-0067
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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